• The Journal of the Korea Contents Association
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• v.12 no.4
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• pp.373-379
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• 2012

This study surveyed the image of hospital emergency medical technicians with 122 emergency medical service providers (doctors and nurses) working at tertiary medical institutions in Daejeon and Chungcheongnam.do in order to provide basic materials for enhancing the status and professional image of hospital emergency medical technicians. According to the results of this study, the overall image was $3.27{\pm}0.34$, and by its sub.area, professional image was highest and role image was lowest. By item, 'Maintain a friendly relations with doctors' was highest, and 'Arrogant and negligent in job performance' was lowest. In order to enhance their image, hospital emergency medical technicians need to assume a sincere attitude toward patients and colleagues consistently, to strengthen their professionalism, and to carry out their duties and roles faithfully. What is more, the association should take proper measures and to establish the sound image of emergency medical technician as a professional through active campaigns and monitoring using mass media.

• The Korean Journal of Emergency Medical Services
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• v.22 no.3
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• pp.77-90
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• 2018

Purpose: This study aimed to assess and improve the work scope of emergency medical technicians (EMT)-paramedics in emergency medical centers. Methods: Data were collected from February 1 to 14, 2018. The questionnaire comprised a total of 56 questions: eight general questions, six questions about the recognition of EMT-paramedics in emergency medical centers, and 42 questions about their work. Data were analyzed via frequency and correlation analysis using SPSS version 18.0. Results: Regarding the work of EMTs in emergency medical centers, positive opinions were found in 23 items, negative opinions in 4 items, and both positive and negative opinions in 9 items. Regarding the questions about the necessity, work importance, professionalism, and the need for an increase4 in EMR-paramedics, depending on respondents' career, there was no statistically significant difference between the group of beginners and the group comprising beginners and that of experienced workers (p>.200). Conclusion: The expert survey revealed that the work performance of EMT-paramedics in regional emergency medical centers was trusted and showed positive results of improvement and expansion.

• Spatial Information Research
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• v.4 no.1
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• pp.43-54
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• 1996

The purpose of this study is to provide GIS application to the emergency medical service management system in the Seoul area. Two wards, Kangnam-Gu and Songpa-Gu, were selected for a pilot study subject. The main focus of the study was to develope the network system using GIS which could select the most available hospital from the site being emergency case and advise the minimum path to the hospital. ARC/INFO pc version was need to implemeni an indexing system for automated mapping and data storage. The developed system, "Emergency Medical System based on GIS ${\ulcorner}$EMS/GIS${\lrcorner}m$", consists of the cartographic database and vehicle transportation system. The results suggest that EMS/GIS network are needed to connect the local transportation network between major emergency care hospitals and central conirol tower in the near future. If the EMS/GIS system could be more developed based in further analysis, it would be the most useful economical and efficient for emergency medical service with mutual aid system.al aid system.

• Proceedings of the Korea Information Processing Society Conference
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• 2007.05a
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• pp.657-660
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• 2007

구급차에서는 위급한 상황의 환자를 이송할 시에 적절한 응급조치가 필요로 하고 환자의 상태에 맞는 조치를 취하여야 한다. 그러나 모든 구급차에 의사가 상주 할 수 없음으로 CDMA 망을 이용하여 원격지의 의사가 원격의료가 가능한 시스템을 제안한다. 낮은 전송속도에서 효율적으로 중요한 의학적 정보를 전송할 수 있는 원격 응급 의료 시스템이 개발된다면 의료기관에 상주하는 의사와 데이터를 송수신하는 시간도 단축할 수 있으며, 응급상황 발생시 대처를 하지 못하거나 하는 경우를 예방할 수 있어 환자 이송 시에 상당한 효과가 있으리라 판단된다.

• Fire Science and Engineering
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• v.20 no.3 s.63
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• pp.42-47
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• 2006

Direct medical control by medical doctors is an essential part of emergency medical services system (EMSS). However, the indications are not specifically defined, even in 119 system with their own medical control team. The Seoul Metropolitan Fire and Disaster Management Department has operated internal medical consultation services on its own since January 2004. Based on the experiences from these services, we reviewed the cases of the direct medical consultation and establish the indications for direct medical control. And we presumed the demand of direct medical control with the established indications. The crews of 119 in Seoul made 793 calls to Medical Control Team during November 2004. We reviewed all of the calls according to the level of consciousness (AVPU), the kinds of emergency care done by crews during transport (10 categories), and the mechanisms of injuries (9 categories). The need for direct medical control was judged by authors with reviewing the records reported by the crews and control teams. Among 23 items, 14 items assigned as the indications, which were abnormal level of consciousness (VPU), 6 kinds of emergency care, and 5 mechanisms of injures. The sum of the three of them, 7,782 cases (45.9%), was in need of direct medical control. In conclusion, about half of the patients transported by 119 crews in Seoul require direct medical control. The need for the direct medical control in Seoul was estimated as many as 260 calls per day. To fulfill the need for direct medical control and to provide a effective medical control, the direct medical control should be accomplished through the communications between the crews and the medical staffs in the local hospitals.

• Smart Media Journal
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• v.13 no.5
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• pp.33-44
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• 2024

Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.11a
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• pp.1055-1058
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• 2011

본 논문은 IT분야의 다양한 융합 기술 분야 중에서 언제 어디서나 사용자의 건강상태를 실시간으로 확인 할 수 있는 u-Health 시스템(Ubiquitous Health System)을 구현하였다. 현재 서비스되고 있는 u-Health 시스템은 초기 단계로 사용자의 상태를 확인하는 센서 기기에 의존하여 센서로부터 측정된 데이터를 가족 및 의료기관 등이 직접 분석하여 대처 하는 방법을 사용하고 있다. 그러나 기존에 개발된 u-Health 시스템은 센서 기기에 대한 오동작과 응급상황 발생 시 정확하고 신속한 대처를 할 수 없다는 단점을 가지고 있다. 따라서 본 논문에서는 u-Health 시스템의 단점을 보완하고자 기존 u-Health 시스템에 질환판별 알고리즘을 적용하여 사용자의 상태를 진단하고 이상 징후나 응급상황을 판단 할 수 있도록 하여 신뢰성을 높인다. 또한 질환판별 결과가 응급상황으로 판정될 시 가족 및 의료기관에 실시간으로 문자 메시지를 전송하여 알림 역할을 하고, 스마트폰과 웹페이지를 이용하여 실시간으로 사용자의 상태를 확인할 수 있도록 하여 신속성을 높이는데 목적이 있다.

• Korean Journal of Construction Engineering and Management
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• v.18 no.6
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• pp.38-46
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• 2017

Recently, various types of disasters have been occurring all over the world, and the importance of disaster management system to minimize damage caused by disasters is emerging. In Korea, we have made many policy improvements related to disaster safety, such as the establishment of the National Security Service and the announcement of the National Safety Management Plan and made a lot of effort to secure facilities such as disaster relief hospitals after the Mauna Ocean Resort Gymnasium Collapse and the Sewol-ho incident, However, compared to advanced countries such as the US, Europe, and Japan, there is a shortage of emergency medical center per population, and disaster management systems have not been implemented efficiently due to lack of coordination among various agencies. The purpose of this study is to propose the efficient construction and systematic management of emergency medical facilities required for disaster situations. For this purpose, it is necessary to identify the current status of domestic emergency medical facilities compared to developed countries.

• Journal of Convergence for Information Technology
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• v.10 no.10
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• pp.253-258
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• 2020

This study analyzed, the characteristics of ambulatory care sensitive conditions(ACSCs) in patients visiting emergency departments(EDs) and compared characteristics according to two age groups (adults aged 19-64 years and, elderly people aged ≥65 years). By accessing data from the National Emergency Department Information System(NEDIS) from January 1 to December 31, 2018, we examined the proportions of different ED types and ACSCs, length of stay(LOS) in the ED, LOS hospital, and hospital admission rates. Regarding the types of EDs, we found that the proportion of local emergency medical centers was high(P<0.001). Regarding the rates of different ACSCs, 31.7% of adults were treated for gastroenteritis, a high proportion of the elderly people(48.2%) were diagnosed with and treated for pneumonia(P<0.001). The LOS in the ED was longer in elderly people for all diseases categories, except for congestive heart failure and diabetes(P<0.001). The LOS in the hospital was also significantly longer in elderly people for all ACSCs(P<0.05), and the admission rate was significantly higher in elderly people for all diseases, except for diabetes(P<0.01). Thus, analyzing the ED visits made by patients with ACSCs will need to strengthen the health-care policy to induce treatment centered on outpatient.

• The Korean Society of Law and Medicine
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• v.25 no.1
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• pp.87-115
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• 2024

In Korea, exposure to stress has been accompanied by mental pain in the process of achieving many growth along with rapid development, various social problems, and the frequency of emergency hospitalization is increasing.. In the case of mentally ill patients, "unwanted hospitalization" is a problem, and police and 119 paramedics try to suppress the body of mentally ill patients, and many problems are exposed This is because the constituent requirements of the provisions of emergency hospitalization under the Mental Health and Welfare Act do not reflect reality, and each institution has a different position on one mentally ill person, and emergency hospitalization does not proceed smoothly or leads to friction between related organizations, and the safety of the mentally ill or others is not secured. Emergency hospitalization is defined as "a person who finds a person who is presumed to be mentally ill and is at high risk of harming his or her health or safety or others," and if the situation is so urgent that he or she cannot afford time to go through the hospitalization procedure to decide on his or her own hospitalization, he or she can request emergency hospitalization with the consent of a doctor and a police officer. In this case, 119 paramedics are escorted to a psychiatric institution. This provision of emergency hospitalization poses many problems in the process of transferring to psychiatric institutions. If a police officer or 119 paramedics in charge of practice use "physical force" during the emergency hospitalization process, side effects will inevitably occur, and professional negligence can be a problem. Specifically, when exercising physical force, the minimum necessary physical restraint based on laws and regulations and proportional principles is required, and the lack of the duty of care of 119 paramedics or police officers under the laws and regulations will eventually be resolved by applying other laws and regulations. Accordingly, it will be an opportunity for mentally ill patients to be transferred to psychiatric institutions in a safe environment by changing the subject of emergency hospitalization provisions under the Mental Health Welfare Act, defining and prescribing the use of physical protection guards as the enforcement regulations of the Mental Health Act, setting the duty of care for 119 paramedics and police officers, and creating an environment for transportation so that mentally ill patients can be treated safely.